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[颈动脉狭窄与脑循环障碍(临床血管造影相关性)]

[Carotid artery stenosis and cerebral circulatory disorders (clinico-angiographic correlation)].

作者信息

Dzhibladze D N, Bragina L K

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1982;82(1):16-23.

PMID:7064598
Abstract

Data on the clinical and angiographic examinations of 192 patients with stenoses of the extracranial part of the carotid artery are compared. The state of the intracranial branches of the median cerebral artery was evaluated with the use of Ring-Waddington's grid. Seven neurological syndromes resulting from the pathology of the intracranial branches of the carotid artery system are specified. In 70% of the cases structural changes of the intracranial vessels were revealed, these changes being the most likely due to thromboembolism from the stenotic carotid artery. The anterior parietal branch was involved less frequently, and the posterior branches of the median cerebral and the orbitofrontal arteries were affected extremely rarely.

摘要

对192例颅外段颈动脉狭窄患者的临床和血管造影检查数据进行了比较。使用林-沃丁顿网格评估大脑中动脉颅内分支的状况。明确了由颈动脉系统颅内分支病变引起的七种神经综合征。在70%的病例中发现了颅内血管的结构变化,这些变化最有可能是由于狭窄的颈动脉血栓栓塞所致。顶叶前支受累较少,大脑中动脉后支和眶额动脉受累极为罕见。

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